| NPI | 1881893204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4579) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001139) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-09-21 |